Individual
MS. VALERIE LYNN PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
246 MIDWAY MEDICAL PARK, BRISTOL, TN 37620-1664
(423) 989-0024
Mailing address
293 GRAY DR, ABINGDON, VA 24210-2349
(276) 623-0688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1030
TN
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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